Shepherd of the Valley has an opportunity for a full time Billing Specialist to join our Home Health team. Experience working in healthcare is required.
The Billing Specialist is responsible for coordination of clerical activities relevent to services provided to clients in their place of residence. This positon is responsible for all billing functions for Home Health.
Shepherd of the Valley is a Christian not-for-profit corporation governed by the basic Christian values of compassion, respect, dignity, spirituality, integrity and quality. Working for Shepherd of the Valley is not just a job, it's a calling.
As a Shepherd employee you will enjoy competitive wages and PTO plans. We offer full medical, dental and vision coverage and paid holidays(for those who qualify). We also offer a Retirement Plan and Flexible Spending Accounts. Our employees also enjoy discounts at local businesses, employee wellness program, direct deposit, annual increases and free CPR/First Aide certification.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Ensures that all patient charges conform to medical records.
Electronic billing with multiple payers.
Process and post charges to customer accounts.
Enters finalized cash receipts and updates accounts receivable ledger by customer.
Verification of benefit eligibility for home health services.
Obtains and mails invoice copies for customers.
Researches and processes customer claims of invoice payment.
Answers accounts receivable phone inquiries and follows up.
Calls and/or mails correspondence to customers as necessary for collection and/or in order to update accounts.
Monitors accounts receivables, audits past due accounts, and forwards accounts to appropriate department as necessary
Administrative Duties and Responsibilities:
Patient Plans of Care- faxing, tracking, filing and any necessary contact or follow up with physicians.
Verbal Orders and Discharge Summaries-Every week separate per clinician for IDT meeting, collect for faxing.
Insurance Authorizations-Enter into HHC software, email Home Health Director, Billing Dept. & Clinical Manager. Maintain Authorization Sheet with updated info. Monitor patient visits and authorizations. Pull and break down Discharged Insurance charts
VA Insurance Authorizations-Enter in HHC software, email HH Director, Billing and Clinical Manager.
Documentation Sheet-Maintain with new patients, discharged patients, prepare new spreadsheet every year.
Home Health Patient Files (Medicare, Insurance & VA)-File all patient information appropriately until discharge. Make new charts & break down discharged charts. Maintain Discharged Charts & File Rejected Charts in warehouse for year-end purging.
Notice of Medicare Non-Coverage forms-printing, faxing, tracking and filing.
Prepare flu vaccine billing & create yearly flu log for patient listing and posting flu receivables.
Medicare chart review.
Participates in coverage of home health office when necessary.
Assists with related special projects, as required.
*Maintain the confidentiality of all resident, staff and organization information.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Required: High School Diploma or Equivalent. Two years of experience in business office, preferably medical office, required. Home Health experience preferred.
To perform this job successfully, an individual should have working knowledge of basic computer programs, i.e.: word, excel, e-mail. Knowledge of accounting and or home health software preferred such as Brightree, & Quadex .
All potential employees go through extensive background checks for safety through State of Ohio BCII and FBI fingerprinting, as well as six other checks ( OIG, Nationwide Sex Offenders listings, etc). We also screen references, both personal and professional, to ensure that we only hire those that are committed to providing the hightest quality of service.